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Anesthetic technique for strabismus surgery allows immediate suture adjustment
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BIRMINGHAM, Ala. — Immediate postoperative adjustment of sutures in strabismus surgery may be accurately performed using a “stepped-down” infusion of propofol with midazolam, according to a study here.
Researchers at The Callahan Eye Foundation Hospital prospectively enrolled 16 patients judged to be appropriate candidates for adjustable sutures. Comaintenance of anesthesia was accomplished using a stepped-down infusion of propofol with midazolam. Final suture adjustments were made immediately postop. Patients were followed for 6 weeks postop.
The mean drift in deviation after 6 weeks was 8 PD or less horizontally in all patients and 4 PD or less vertically in 87% of patients compared with the alignment achieved in the operating room.
The study is published in the August issue of Journal of the American Association for Pediatric Ophthalmology and Strabismus.